Immigration, Refugees and Citizenship Canada (IRCC) – Forms and Agreements

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Prior Approval / Claim Forms

Dental Predetermination/Claim Form

Hospital Services Claim Form

Medical/General Services Claim Form

Optical Services Claim Form

Pharmaceutical Services Claim Form

 

Provider IFHP Registration / Terms and Conditions

Provider IFHP Registration Form – Terms and Conditions

Provider IFHP Registration Form – Terms and Conditions Ontario Dentists


Provider Registration

Electronic Claim Submission Agreement

Provider Web Portal Agreement

 

General Forms

Direct Deposit Request Form

IFHP Claims Re-order Form

Pharmacy Information Form

Type 2 Coverage Request for Pregnant Women with IFH Coverage Type 3 or 4 Form